Individual provider Active NPI

Jay Dobrzynski

  • Contractor
  • Hockessin, DE
National Provider Identifier
1275958530
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
MT-0003819 Issued in DE
Practice address
720 Yorklyn Rd
Hockessin, DE 19707-8728
Phone
(302) 234-2981
NPI assigned
Feb 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X MT-0003819 DE Primary

Addresses

Primary practice location

720 Yorklyn Rd
Hockessin, DE 19707-8728

Mailing address

1 Becket CT
Hockessin, DE 19707-1104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT-0003819DEMDContractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1275958530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BECKET CT",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197071104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 YORKLYN RD",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078728",
            "telephone_number": "302-234-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRZYNSKI",
        "first_name": "JAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "DE",
            "license": "MT-0003819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hockessin, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.